Revivo Medical PA
NPI 1528955358 · Internal Medicine Physician · Dallas, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Revivo Medical PA is a Internal Medicine Physician organization in Dallas, TX (NPI 1528955358).
Provider details
- NPI number
- 1528955358
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Schrader, Owner(469) 235-1263
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-06-23
- Last updated
- 2025-06-23
- Certified
- 2025-06-23
Frequently asked questions
- What is Revivo Medical PA's NPI number?
- Revivo Medical PA's National Provider Identifier (NPI) is 1528955358, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Revivo Medical PA?
- Revivo Medical PA is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Revivo Medical PA located?
- Revivo Medical PA's practice location on file with NPPES is 9441 Lyndon B Johnson Fwy Ste 103b, Dallas, TX 75243-4545.
- What is Revivo Medical PA's phone number?
- The practice phone number listed in the NPPES registry for Revivo Medical PA is (469) 466-2251.
- Does Revivo Medical PA accept Medicare?
- Revivo Medical PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Revivo Medical PA?
- The authorized official listed on Revivo Medical PA's NPPES record is Michael Schrader, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Revivo Medical PA's NPI active?
- Yes — Revivo Medical PA's NPI (1528955358) is active in the NPPES registry as of the last update on 2025-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.